| NPI | 1407158918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1007029) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169208) | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2021-12-14 |